Cara Parsons
Individual provider Active NPI Pharmacist · Valliant, OK
NPI 1831789023 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1831789023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14540 (OK)
- Practice address
- 202 W Chappell Dr
Valliant, OK 74764-9135 - Phone
- (580) 933-5745
- NPI assigned
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14540 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruetts Food Inc | Current |
Accepting new patients |
Locations
202 W Chappell Dr
Valliant, OK 74764
Phone (580) 933-5745
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14540 | OK | Yes |
Addresses
Primary practice location
202 W Chappell Dr
Valliant, OK 74764-9135
Mailing address
202 W Chappell Dr
Valliant, OK 74764-9135
Other providers in Valliant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.